James Wieberg in Jefferson City - Professional

James Wieberg - NPI 1689614596

James Wieberg is a Professional in Jefferson City, Missouri. James Wieberg practices all healthcare services and medical treatments related to Professional. The NPI Number for James Wieberg is 1689614596. The last update date is 2009-07-01.

James Wieberg's current location address is 1432 Southwest Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736325560 and fax number 5736325875. The mailing address for James Wieberg is 1432 Southwest Blvd, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name James Wieberg
Address 1432 Southwest Blvd, Jefferson City, Missouri
Phone Number 5736325560
Fax Number 5736325875
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1689614596
Provider Enumeration Date 2006-06-08
Last Updated Date 2009-07-01

Provider Mailing Address Detail

Address 1432 Southwest Blvd
City Jefferson City
State Missouri (MO)
Post Code 65109
Phone Number 5736325560
Fax Number 5736325875

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 612
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
493618003 MO --
109949 MO BCBS

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FAQs about James Wieberg

What is the unique provider identifier assigned to James Wieberg?

The James Wieberg has been issued the NPI (National Provider Identifier) 1689614596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where James Wieberg is physically located?

The James Wieberg is situated at the following address: 1432 Southwest Blvd, Jefferson City, MO 65109.

What is the James Wieberg's specialty and taxonomy code?

The James Wieberg's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689614596 to James Wieberg?

The James Wieberg received its 1689614596 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.

As of what date were the details pertaining to James Wieberg last refreshed?

The information related to the James Wieberg, including its address, specialty, and other relevant details, was last updated on 2009-07-01.

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